DO NOT HAVE AN IMPLANT WITHOUT ASKING THESE QUESTIONS!

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DO NOT HAVE AN IMPLANT WITHOUT ASKING THESE QUESTIONS!

The structure of the mouth and teeth of each patient is different from each other. Do not believe in hearsay information or act on what you read on the Internet when having an implant.

Turkey Medicals – dental implants in Turkey are very popular today. In order for you, to have at least as much information as a student of the faculty of dentistry, we answered some of the questions that have been circulating on the Internet.

How long should I wait for the recovery period after the implant is inserted?

In the past, it was recommended to wait at least four to six months for the implant to boil in implants with a microscopically flat surface. However, by roughening the implant surface with various techniques, increasing the surface area, it was possible to load the implants in a shorter period of time. This period from two to four months, depending on the quality of the bone.

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PLACED WITHIN 72 HOURS

What is immediate loading and non-functional immediate loading?

Immediate loading is defined as the placement of the implant superstructure with teeth in the opposite arch to ensure occlusion within 72 hours after the implant is placed. If it is a non-functional immediate installation, the implant superstructure should be applied within 72 hours after the implant is inserted, but a complete occlusion with the teeth in the opposite arch is not provided.

What is the difference between immediate installation and traditional installation in terms of implant success?

Although there are Turkish clinical studies that record a similar or lower success rate in immediate-loaded implants compared to traditionally loaded implants, research is needed to accurately establish the success rate of immediate loaded implants.

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THE FIRST MONTH IS A VERY CRITICAL PERIOD

What consequences can an early installation of an implant that does not provide primary stability have?

After the implant is inserted, embryogenic bone is first formed between the implant and the bone during the healing time. After that, the bone turns into a lamellar bone as a mature bone and becomes a bone that can carry a load. The first month after implant placement is critical in this respect. If the implant is loaded without providing primary stability, connective tissue is formed between the bone and the implant instead of bone. If the implant moves during this time, the transformation of the embryogenic bone into the lamellar bone is disrupted and a successful fusion cannot be achieved.

What is the immediate implant application?

It is the placement of an implant in the extraction socket immediately after tooth extraction. If the bone and soft tissue are in good condition after tooth extraction, the implant can be inserted immediately after the extraction.

Does immediate implant application prevent bone resorption that occurs in the alveolar crest?

The degree of bone resorption that occurs in the alveolar crest depends on the time elapsed after the loss of the tooth. Especially in the posterior region of the upper jaw, significant bone resorption was observed within a few months after tooth extraction. In the lower jaw, up to 30 percent of the bone is lost during the first two years after tooth extraction. It has been observed that alveolar bone resorption can be prevented by an implant applied early after tooth extraction.

How can soft tissue insufficiency be solved for closing wound lips in immediate implant applications?

In the immediate implant protocol, the separation of the wound lips is the most common complication. Alternatively, an implant can be placed after waiting for some time for soft tissue healing to complete.

In immediate implant application, what can be done if there is a gap between implants and the decantation hole?

In immediate implantation, an implant is selected that will provide maximum bone contact between the implant and the alveolar. It is recommended that bone be placed in areas with a gap of more than 2 mm between the implant and the wall of the decantation cavity and that it be covered with skin. In between is recommended that the implant be placed in areas with a gap of more than 2 mm. In addition, implants applied to the shooting area are placed apically further forward than the shooting hole, which increases the primary stability.

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THE FUSION WITH THE BONE IS IN QUESTION

It is not preferable to use the implant and the natural tooth together as a bridge foot.

Why?

While the teeth are attached to the bone through the gingival ligaments; In implants, there is a fusion of the implant with the bone where there is a complete integration with the bone. In a fixed prosthesis where the implant and the natural tooth are used together, the chewing loads allow the tooth to move within the limits of the gum ligament, while the implant does not move. This movement causes excessive leverage force to be applied to the tooth and stress to be created on the implant neck.

In cases where there is not enough bone volume for implant placement, what additional surgical techniques can be applied?

Directed bone regeneration

Autogenous onlay bone graft

Raising the sinus base

Interpositional graft

Rig split in alveoloplasti

Distraction osteogenesis

Using a free bone flap

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A SHORT IMPLANT CAN BE PLACED

In which cases may bone agumentation be required in the vertical direction for implant placement?

As a result of the melting of the crest in the posterior region of the upper jaw or the downward sagging of the sinus in the upper jaw, the base of the sinus is located; in the lower jaw, the alveolar nerve is located below, close to the crest, due to the melting of the crest. In this case, short implant placement may be considered. If there is not enough bone height available even for the shortest implant placement and stabilization, sinus lift (adding bone to the base of the sinus) may be required in the upper jaw, repositioning of the nerve or bone agumentation may be required in the lower jaw.

The fact that he is motionless indicates that he is successful

During the session where we placed the abutment to prepare the implant superstructure, when we notice that there is mobility in the implant, our intervention is as follows: the immobility of the implant indicates that the implant is boiling successfully. The fact that the implant is moving indicates that the implant is not integrated with the bone and is surrounded by connective tissue. If movement is detected at this stage, the implant should be removed. After sufficient healing is completed, a new implant can be placed in this area in the future.

It is necessary to wait at least four months

What operations can be performed on the bone when implanting implants in crowns that have a sufficient vertical height but not a sufficient width?

If there is some bone deficiency on the implant surface, the deficiency is repaired by adding particulate bone. If the crest is not wide enough for implant stabilization, the crest can be expanded by inserting a block bone. Alternatively, with bone decapitation surgery, the crest can be divided into buccal and lingual parts and particulate bone powder can be placed in between. It is recommended to wait at least four months for implant placement.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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